ACADEMIC DERMATOLOGY CONSULTANTS PA
Ambulatory Health at Nira St, Jacksonville, FL

License number
Florida ME0042082
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: MICHAEL J BERNHARDT MD
Title: PRESIDENT/OWNER
Phone: (904) 387-4991
Address
Address
1514 Nira St, Jacksonville, FL 32207
National Provider ID: 1952551467
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ACADEMIC DERMATOLOGY CONSULTANTS, PA

Jacksonville, FL

Industry:
Business Consulting Services
Registration:
Sep 5, 2008
Addresses:
1514 Nira St, Jacksonville, FL 32207 (Physical)
PO Box 551260, Jacksonville, FL 32255
State ID:
P08000082308
Business type:
Florida Profit Corporation
Director:
Michael J Bernhardt (Director), 1514 Nira St, Jacksonville, FL 32207 (Physical)
Agent:
Bernhardt, Michael J, Dr,1514 Nira St, Jacksonville, FL 32207 (Physical)
EIN:
263318629

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